PROPOSAL - sohs.edu.npsohs.edu.np/sites/default/files/SOHS PROPOSAL ON OPHTHALMIC.p… · marketing in eye care.and 15. Pertorm patient counseling and service marketing in eye care

Programme expansion in SOHS 2013-14

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PROPOSAL ON

PROGRAMME EXPANSION IN SOHS

Submitted to: Council for Technical Education and Vocational Training

(CTEVT) Sanothimi, Bhaktapur

Submitted By:

School of Health Science Bharatpur


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1. INTRODUCTION School of health science is CTEVT constituent school, established at Bharatpur-10

Chitwan, Nepal in 1997. It is approximately 180 KM southwest from Kathmandu (capital

of Nepal) by road and is well connected with air transport. The building premises of

former Institute of Medicine ANM campus Bharatpur was renovated by Republic of

Korea through Korean International Cooperation Agency (KOICA), inaugurated on

Tuesday 4th February 1997 (2053/10/12 BS) and dedicated to Nepal Government on 2nd

December 1997 (2054/08/17 BS). At the same time KOICA has provided teaching

learning material, equipment and other physical facilities. The school started instructional

activities from March 1st, 1997 (2054/11/17 BS) with 50 students of PCL in General

Medicine. From 1997 to 2005 the school was managed by joint cooperation between

CTEVT and Korean NGOs. Now it has School Management Board chaired by Chief

District Officer of Chitwan district.

Under the CTEVT umbrella, this is the first school in Nepal to produce certificate level

manpower for health sector. Currently the school is offering certificate level course in

three distinct health science viz. General Medicine (introduced from 2054/055; 1997/98),

Medical Laboratory Technology (introduced from 2060/061; 2003/04) and Pharmacy

(introduced from 2061/062; 2004/05).

Vision

School of Health Science is recognized as a “Centre of Excellence” in producing

competent health professionals in Nepal.


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Mission

The mission of School of Health Science is to produce competent and confident middle

level health workforce required for the promotion and development of quality health

services in Nepal.

Goals

1. Provide regular courses

2. Regular supervision, monitoring & Evaluation

3. Promote staff development

4. Generate income through consultancy and training

5. Provide placement and counselling services

6. Develop and maintain physical infrastructure

7. Provide Community services through medical camp, community diagnosis and

Micro Health Project, Health Awareness campaigning, School Health programme

8. Provide short-term livelihood training


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2. CURRENT STATUS 2.1 Academic programmes

Currently school is offering Proficiency Certificate Level courses in three distinct health

sciences, viz. General Medicine (from 2054/055; 1997/98), Medical Laboratory

Technology (from 2060/61; 2003/04) and Pharmacy (from 2061/062; 2004/05). ANM

training for 40 MCHW as sponsored programme was also carried out for one session in

the past.

2.2 Outreach and Community Service

Every year school of health science organizes community diagnosis with micro-health

projects, health awareness campaigns, medical camps and short-term trainings targeting

poor and marginalized rural people residing periphery of Chitwan and

Nawalparasi districts.

2.3 Vocational Training Programmes

School of Health Science has no regular vocational programmes till date. As short term

programmes it often organize trainings for traditional healers, female representatives of

VDC, primary school teachers, youths, mothers group on various health related topics

aiming to raise health awareness. From fiscal year 2067/68, as regular programme the

school has started livelihood training focusing unemployed youths, disable people and

marginalized population.

2.4 Number of graduates

From establishment to date 1497 number of students have been recruited in diploma

programme and 40 in the TSLC programme. More than 95 per cent of students have been

passed the course successfully.


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3. NEED OF NEW PROGRAMME Though policy to cover national wide is lacking, SOHS has students from more than 72

districts in diploma level programme. Low proportion of girls and Dalit, less number of

students from Mountain belt and Far West Developmental Region are observed by

analysing data to recruited students. Exercise to reform quota to increase accessibility to

girls and add new diploma level programme is on the process.

SOHS is one of such institutions of Nepal which is even accessible to students from poor,

marginalized and backward families. Its chief and affordable fees structure with high

quality teaching learning activities has made it attractive for students searching for

technical education. Every year it collects huge numbers of application forms for new

admission. In such scenario extension of new courses is very fruitful. With provision of

providing tools and equipment and helping to maintain high level quequpartnership with

Bharatpur Eye Hospital and NNJS Bharatpur, it is easier for SOHS to lunch programme

effectively and efficiently.

The reasons behind to launch Ophthalmology in SOHS are as mentioned:

1. There is only one institute to produce Ophthalmic technician in Nepal

2. There is low number of Ophthalmic technician in Nepal

3. Ophthalmic Science is feasible to conduct in SOHS, rather than radiography and

physiotherapy

4. There is high demand of ophthalmic technician in national and abroad market.

5. To produce competent manpower SOHS students need comprehensive practical

exposure in hospital setting. SOHS has no such hospital and partnership with eye

hospital will solve those problem for practical exposure and instructional staffs

deficiencies.

3.1 Need of Ophthalmic Programme


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Needless blindness has been serious public health challenge in Nepal. The current total

number of blind in Nepal is estimated to be 1, 70,000 with more than 1, 30,000 cataract

blind (according to 1996 statistic, based on the 1981 Nepal blindness survey). At present,

Nepal has 22 eye hospitals and more than 50 primary eye care centers covering 62

districts to cater to its growing population of visually impaired and those challenged.

Before 1980, there were only three ophthalmologists outside the national capital Kathmandu and only 16 hospital beds dedicated to eye patients for a population of

14 million in Nepal. There were no other trained human resources in eye care to support

this limited number of ophthalmologists. In 1981, a national blindness survey reported

0.84 % of the population o be blind in both eyes. The prevalence of blindness among

those aged 45 years and older was estimated at 3.77 %. It was estimated that 80% of this

blindness was either curable or preventable. Age related cataract was the major causes of

blindness.

Blindness was identified as a major public health problem that needed urgent attention.

Existing infrastructure and human resources were far too low and insufficient to combat

the huge magnitude of blindness.

Along with the training of the ophthalmologists to cater to the immediate need of eye

care services and promote primary eye care, a desperate need was felt for an additional

cadre of mid level human resources such as ophthalmic assistants. Thus indigenous

training programs were st6arted in July 1981, in joint collaboration between the

government of Nepal and WHO.

The training program was continued by Nepal Netra Jyoti Sngh at Himalaya Eye

Hospital, Pokhara and Lumbini Rana Ambika Eye hospital, Bhairahawa. The Program

has been recognized by the GoN, the council for Technical Education and vocational

training (CTEVT) and the Health Professional Council.

3.2 Aims and objectives


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The ophthalmic assistant is a professional ophthalmic health worker, who has been given

three full year training in ophthalmology and related health sciences. The aim of this

training is to produce compassionate mid-level ophthalmic human resources that can play

an important role in the eye care delivery system within the hospital and in the

community. The objectives are to:

1. Provide efficient human resources to support ophthalmologists in providing eye

care services at the secondary/tertiary level of the eye care delivery system.

2. Provide appropriately trained human resources to deliver primary eye care

services independently at primary eye care centers.

3. Provide appropriately trained human resource to supervise primary eye care

personal at health post level and community levels.

4. Provide technical and managerial support at all levels of the health institute: and

5. Plan and carry out community eye care programs.

3.3 Brief job description

A trained ophthalmic assistant would be able to perform the following jobs at different

levels of eye care services throughout the country.

1. Diagnose and initiate treatment appropriate management of all common eye

problems including refractive errors(blinding,and potentially blinding conditions)

2. Recognize and refer to an ophthalmologist those conditions that require more

sophisticated care.

3. Organize and conduct outreach activities such as screening camps. School health

programs etc.

4. Import primary eye health education on health promotion and prevention of

preventable eye diseases.

5. Select and prepare patients who require intra-ocular surgery.

6. Assist the ophthalmologists in ophthalmic surgery.

7. Carry out postoperative management of the eye patients after surgery.


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8. Perform eyelid and other specified minor extra –ocular operations.

9. Perform practical procedures involved in examination, investigation and treatment

of common eye problems.

10. Manage and eye clinic along with keeping records and supplied

11. Supervise primary eye care personnel

12. Perform refraction and prescribe spectacles to patients

13. Perform a basic clinical low vision assessment and prescribe necessary

interventions

14. Ensure preventive maintenance and assured working condition of all types of

instruments used in eye care and perform patient counseling and service

marketing in eye care.and

15. Pertorm patient counseling and service marketing in eye care.

3.4 Distribution of trained ophthalmic assistants

Ophthalmic assistants are not merely working in eye hospitals located in major cities of

the country. They also provide primary eye care and increase awareness in rural eye

centres throughout the country. They have covered all zones and 55 of the 75 districts of

the country. However the zonal distribution is not rational. 82 per cent of total

Ophthalmic assistant are working only in Bagmati


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3.5 OA Training Centre and annual production

At present two eye hospitals under Nepal Netra Jyoti Sangh,Shree Rana Ambika Shah

Eye Hospital, Bhairahawa, and Himalayan Eye Hospital, Pokhara, Nepal Eye Hospital

Tripureshwor and Tilganga Eye Centre, Kathmandu are conducting the ophthalmic

assistant training programme on an average 30 to 40 ophthamic assistant are produced

annually by these centers.

3.6 Projection of required human resources

Ophthalmic assistants to meet the objectives of the VISION 2020 Programme.

As per WHO’s VISION 2020 guidelines there should be a provision for a vision - centre

or a community eye care centre for 50,000 population. But due to the remoteness and

topographic nature of the country where high mountains are sparsely populated. This

estimation may be appropriate to consider as the upper limit in the context of Nepal. A

simple calculation reveals the need for at least 500 ophthalmic assistants to conduct

primary eye care centers throughout the country. At present more than 60% ophthalmic

assistants are working in hospitals. The ratio might increase in the future since this


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subspecialty is being added in more hospitals. This indicates that at least 1500 activity

working ophthalmic assistants are required to achieve the goal of VISION 2020.There is

a need to double the existing capacity by producing 60 to 80 OA on an annual basis.

4. PROJECT DETAIL

4.1 Name of project

School of Health Science

Ophthalmic programme (A Joint project between SOHS & Bharatpur Eye Hospital)

4.2 Certification and record keeping Student will be provided character certificate in joint name of School of Health Science

and Bharatpur Eye Hospital. SOHS (Examination section) will responsible to keep all

detail records of students and graduates.

4.3 HOD and coordinator for Ophthalmology programme

HOD for Ophthalmology programme will be recruited by joint consent from SOHS and

Bharatpur Eye Hospital. His/her remuneration will be provided by BEH Bharatpur. HOD

will work under guidance of Principal of SOHS and authority of Bharatpur Eye Hospital.

Coordinator for Ophthalmology programme will be recruited by joint consent from


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SOHS and Bharatpur Eye Hospital. His/her remuneration will be provided by SOHS.

Coordinator will work under guidance of Principal of SOHS, HOD and authority of

Bharatpur Eye Hospital.

4.4 Teaching faculties for Ophthalmology programme

Faculties for Ophthalmology programme will be recruited by joint consent from SOHS

and Bharatpur Eye Hospital. SOHS will accomplish all theoretical and practical courses

of first year in SOHS premises. Theoretical and practical parts of subjects of second and

third year viz. Ocular Pharmacology and Pathology, Systemic diseases related to eye,

Health Management, Basic Health Care ad Health Education, as well Research

Methodology and Community Diagnosis are also accomplished by SOHS in its and BEH

premises. Other subjects of second and third year including field practical are

accomplished by Bharatpur Eye Hospital.

4.5 Administrative and Public relation staffs

Available administrative staffs of SOHS and Bharatpur Eye Hospital will work as

administrative staffs of Ophthalmic programme too.

4.6 Infrastructures

Classrooms and laboratories for first year, services of library, examination section,

account section, and administration section, auditorium, play grounds and other available

facilities of SOHS will be provided through SOHS, while classrooms and laboratories for

second and third years, hospitals and Primary Eye Care Centre of NNJS and other

facilities of NNJS will be provided by Bharatpur Eye Hospital.

4.7 Fund Management


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The ophthalmic programme will be conducted as sponsored programme in SOHS. The

expenses and expenditures for first year and administrative cost will be managed by

SOHS. Students will use SOHS premises, play grounds, auditorium and examination

section, account section, administration section and library of SOHS will provide

services. Only second year and third year theoretical and practical portion including field

exposure will be managed by Bharatpur Eye Hospital and NNJS Bharatpur.

Initially source of income will be student fee and attempt to bring donor will be going on.

A joint account between SOHS and Bharatpur Eye Hospital will be operated in signature

of Principal, Medical Director and Account officer of SOHS. Account Officer of SOHS

is responsible to keep all account document of joint account.

5. INFRASTRUCTURE PLANNING 5.1 Sitting arrangement S. No.

Faculty Year Classroom Shift Status Remarks

1 General Science (GM, MLT, DPh, Ophthalmology)

1st Block 13; Room 1 (Section A) Day available 2 1st Block 13; Room 2 (Section B) Day available 3 1st Block 13; Room 3 (Section C) Day available 4 1st Block 13; Room 4 (Section D) Day available 5 Pharmacy 2nd Block 12; Room 5 year Mor

ning available

6 Pharmacy 3rd Block 12; Room 9 year Morning

available

7 Ophthalmology 2nd Managed by hospital

year available Managed by hospital 8 Ophthalmology 3rd Managed by

hospital year available

9 MLT 2nd Block 9 year Day available From 12:00 AM

10 MLT 3rd Block 9 year day available From 10:00 AM

11 General Medicine

2nd Block 12; Room 11 year day available Need partition


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12 General Medicine

2nd year Block 12; Room 12 day available

13 General Medicine

3rd Block 12; Room 5 year Day available From 1:00 PM

14 General Medicine

3rd Block 12; Room 9 year day available From 1:00 PM

15 AV room Block 3 available 16 AV room Block 2 available 5.2 Furniture (Desk bench) arrangement Desk bench for 80 students (42 pairs) need to purchase. 5.3 Planning for Teaching Faculty (First Year) S. No.

Subject Section Status of teacher

Qualification of teacher

Remuneration per year

Remarks

1

Anatomy & Physiology

A Available -- B Available -- C Available -- D Need

new recruit

≥ MBBS GII for 13 months

Section D: ophthalmology programme

2 Nepali


new recruit

MA or MEd in Nepali

GII for 13 months

3 English


new recruit

MA or MEd in English

GII for 13 months

4 Chemistry


new recruit

MSc in Chemistry

GII for 13 months


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5 Physics


new recruit

MSc in Physics

GII for 13 months

6 Botany


new recruit

MSc in Botany

GII for 13 months

7 Zoology


new recruit

MSc in Zoology

GII for 13 months

8 Math/Stat/Comp


new recruit

MA or MSc in Math

GII for 13 months

9 Social study


new recruit

MA in History

GII for 13 months

5.4 Planning for Teaching Faculty (Ophthalmology IInd Year) Managed by Bharatpur Eye Hospital S. No.

Subject Qualification of teacher

Status designation Remarks

1 Ocular anatomy & physiology

MBBS available Lecturer

2 Ocular pharmacology & pathology*

B Pharm available Asst. Lecturer

Managed by SOHS


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3 Systematic disease related to eye*

>MBBS available Lecturer Managed by SOHS

4 Ocular disorders MD eye available Lecturer 5 Investigative

ophthalmology MD eye available Lecture

6 Ocular surgery MD surgery available Lecturer 7 Community

ophthalmology MPH available Lecturer

Note: Subjects in asterisk will managed by SOHS 5.5 Planning for Teaching Faculty (Ophthalmology IIIrd Year) Managed by Bharatpur Eye Hospital S. No.

Subject Qualification of teacher

Status designation Remarks

1 Health Management, Basic Health care and Health Education*

MPH available Lecturer Managed by SOHS

2 Ocular injuries and Emergencies

MD eye available Lecturer

3 Research Methodology and Community Diagnosis*

MPH available Lecturer Managed by SOHS

4

a) Clinical Practice (Hospital based) Vision, Refraction, Low Vision, Orthoptic, Ocular Procedures and Investigations

b) Clinical practice (Hospital Based) Patient Examination and Diagnosis, Counselling, Ocular anesthesia, assist in surgery (Pre-operative, Post-operative Management), Sterilization

c) Clinical Practice (Diagnostic and Screening Camp, Surgical Camp,


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School Screening) District Eye Care Centre

Note: Subjects in asterisk will managed by SOHS 5.6 Planning for practicum in School S. No.

Subject Room Pr teacher Lab boy Support staff Remarks First year

1 Anatomy and physiology

Ready Assign to related theory teacher

Ready

2 Physics Ready Ready 3 Chemistry Ready Ready 4 Zoology Ready Ready 5 Botany Ready Ready 6 Computer

application Ready Need to

hire Ready

Second year 7 Ocular anatomy &

physiology Ready

8 Ocular pharmacology & pathology*

Ready

9 Ocular screening room

Need to manage

Note: Subjects in asterisk will managed by SOHS


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6. QUOTA DISTRIBUTION FOR OPHTHALMIC PROGRAMME

S. No. Quota Enrolment number Remarks

1 General 11

2 Full pay 15

3 Organization sponsor 10

4 Staff/staff family 2 Of CTEVT & NNJS

5 Remote Backward Region 1

6 Dalit 1

Total 40


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7. FUND MANAGEMENT The ophthalmic programme will be conducted as sponsored programme in SOHS. The

expenses and expenditures for first year and administrative cost will be managed by

SOHS. Students will use SOHS premises, play grounds, auditorium and examination

section, account section, administration section and library of SOHS will provide

services. Only second year and third year theoretical and practical portion including field

exposure will be managed by Bharatpur Eye Hospital and NNJS Bharatpur.

Initially source of income will be student fee and attempt to bring donor will be going on.

A joint account between SOHS and Bharatpur Eye Hospital will be operated. Fifty per

cent of fund will be used by SOHS, remaining by Bharatpur Eye Hospital.

7.1 Fee collection from student by Ophthalmic programme S. No.

Programme Category No. of std

Fee for 3 yrs/ std

Total fee for 3 yrs (NRS)

Deposit per student

Remarks


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10 Ophthalmology

General 15 51530 772950.00 5000/-

11 Full pay 15 350000 5250000.00

5000/-

12 Organization Sponsor

10 375000 3750000.00 5000/-

13 9772950.00

Students recruited from general completion, staff/family, Remote Backward region and Dalit will changed general fee category.

7.2 Provision for educational loan Exercise will be done to provide educational loan.

ORGANIZATIONAL CHART (Ophthalmic programme) Existing organizational chart of SOHS and Bharatpur Eye Hospital will work. Clear roles

and responsibility of SOHS and BEH will solve the need of Organizational Chart.


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Annual and Project Tentative Budget

Yearly Expenditure of School of health Science, Bharatpur, Chitwan.

S.N. Heading No Rate Duration Total

Amount

Remarks

1 Salary 9 10540.00 14 1328040.00

2 Computer 4 9000.00 1 360000.00

3 Diesel 3 10000.00 1 30000.00

4 Practical

Equipment

1 300000.00 1 300000.00

5 Office material 1 150000.00 1 150000.00

6 Furniture 1 250000.00 1 250000.00

7 Repair & 1 200000.00 1 200000.00


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Maintenance

8 Library 1 100000.00 1 100000.00

9 Adm.

Supporting Staff

10 25000.00 12 300000.00

10 Electricity 12 10000.00 1 120000.00

11 Telephone &

fax

12 2500.00 1 30000.00

12 Deprecation 1 300000.00 1 300000.00

Total 31,44,040.00


Yearly Income of School of health Science, Bharatpur, Chitwan.

S.N. Heading Substitute

Quota

Self

Donation

Sponcered

Quota

Remarks

1 Admission Fee 20000.00 298000.00 348000.00

2 Computer 2000.00 2000.00 2000.00

3 Monthly Fee 1000.00 1000.00 1000.00 One Month

4 Certificate 500.00 500.00 500.00

5 Registration Fee 2000.00 2000.00 2000.00

6 Professional council 500.00 500.00 500.00

7 Maintenance Fee 2000.00 2000.00 2000.00


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8 Library Fee 2000.00 2000.00 2000.00

9 Application Fee 1000.00 1000.00 1000.00

10 Hostel Fee 0.00 0.00 0.00

11 Laboratory Fee 17000.00 18000.00 18000.00

12 Sport Fee 2000.00 2000.00 2000.00

Total 52000.00 350000.00 400000.00

*20 *10 *10 No of student

1040000.00 3500000.00 4000000.00

/2 /2 /2

Net Income (with out

Deposite)

520000.00 1750000.00 2000000.00 =4270000.00


Yearly Expenditure of II & III Year Bharatpur eye Hospital, Bharatpur, Chitwan.

S.N. Heading No Rate Duration Total

Amount

Remarks

1 Sallary 12 10540.00 14 1770720.00

2 Computer 0 0.00 0 0.00

3 Diseal 0 0.00 0 0.00

4 Practical

Equipment

80 1500.00 12 1440000.00

5 Office material 1 100000.00 1 100000.00


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6 Furniture 1 250000.00 1 250000.00

7 Repair &

Maintinance

1 100000.00 1 100000.00

8 Library 1 150000.00 1 150000.00

9 Adm.

Supporting Staff

4 2100.00 12 100000.00

10 Electricity 12 3000.00 1 36000.00

11 Teliphone & fax 12 1000.00 1 12000.00

12 Deprisation 1 100000.00 1 100000.00

Total :

4058000.00


Yearly Income of Bharatpur eye Hospital , Bharatpur, Chitwan.

S.N. Heading Substitute

Quota

Self

Donation

Sponcered

Quota

Remarks

1 Admition Fee 20000.00 298000.00 348000.00

2 Computer 2000.00 2000.00 2000.00

3 Monthly Fee 1000.00 1000.00 1000.00 One Month

4 Certificate 1000.00 1000.00 1000.00

5 Registration Fee 2000.00 2000.00 2000.00


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6 Professional council 0.00 0.00 0.00

7 Maintinance Fee 2000.00 2000.00 2000.00

8 Library Fee 2000.00 2000.00 2000.00

9 Application Fee 1000.00 1000.00 1000.00

10 Hostel Fee 0.00 0.00 0.00

11 Laboratory Fee 17000.00 18000.00 18000.00

12 Sport Fee 2000.00 2000.00 2000.00

Total 52000.00 350000.00 400000.00

*20 *10 *10 No of student

1040000.00 3500000.00 4000000.00

/2 /2 /2

Net Income 520000.00 1750000.00 2000000.00 =4270000.00

Documents

PROPOSAL - sohs.edu.npsohs.edu.np/sites/default/files/SOHS PROPOSAL ON OPHTHALMIC.p… · marketing in eye care.and 15. Pertorm patient counseling and service marketing in eye care